PURPOSE: The purpose of this study was to characterize changes in the mechanism and pattern of injury for vehicular trauma victims with modern vehicle design. Crash and injury severity were specifically investigated to isolate the influence of these improvements in vehicle design. METHODS: Since 1972, a local, prospective, assessment of vehicular trauma victims on-scene and at medical institutions providing care has been performed including the following parameters: delta-v, collision speed, type of road using, abbreviated injury scale (AIS), injury severity score (ISS), incidence of polytrauma or death. Victims (for restrained car occupants, bicyclists, pedestrians) injured between 1973 and 1978, and between 1994 and 1999 were compared. RESULTS: Lower crash severity (delta-v, collision speed) and injury severity (AIS, ISS, incidence of polytrauma or death) were measured for restrained car occupants, bicyclists and pedestrians during the later period. The correlation coefficient between delta-v or vehicle collision speed and ISS was higher in the earlier period for car occupants, cyclists and pedestrians. CONCLUSIONS: This study suggests that the observed reduction in injury severity in restrained car occupants, bicyclists and pedestrians is not only linked to the reduction of crash severity, but also related to improvements in vehicle design beyond seat-belt use. Passive car safety led to decreased injury severity--a comparison.
PURPOSE: The purpose of this study was to characterize changes in the mechanism and pattern of injury for vehicular trauma victims with modern vehicle design. Crash and injury severity were specifically investigated to isolate the influence of these improvements in vehicle design. METHODS: Since 1972, a local, prospective, assessment of vehicular trauma victims on-scene and at medical institutions providing care has been performed including the following parameters: delta-v, collision speed, type of road using, abbreviated injury scale (AIS), injury severity score (ISS), incidence of polytrauma or death. Victims (for restrained car occupants, bicyclists, pedestrians) injured between 1973 and 1978, and between 1994 and 1999 were compared. RESULTS: Lower crash severity (delta-v, collision speed) and injury severity (AIS, ISS, incidence of polytrauma or death) were measured for restrained car occupants, bicyclists and pedestrians during the later period. The correlation coefficient between delta-v or vehicle collision speed and ISS was higher in the earlier period for car occupants, cyclists and pedestrians. CONCLUSIONS: This study suggests that the observed reduction in injury severity in restrained car occupants, bicyclists and pedestrians is not only linked to the reduction of crash severity, but also related to improvements in vehicle design beyond seat-belt use. Passive car safety led to decreased injury severity--a comparison.
Authors: Nicolas Cheynel; Julie Gentil; Marc Freitz; Patrick Rat; Pablo Ortega Deballon; C Bonithon Kopp Journal: World J Surg Date: 2011-07 Impact factor: 3.352
Authors: Roman Pfeifer; Sascha Halvachizadeh; Sylvia Schick; Kai Sprengel; Kai Oliver Jensen; Michel Teuben; Ladislav Mica; Valentin Neuhaus; Hans-Christoph Pape Journal: World J Surg Date: 2019-10 Impact factor: 3.352
Authors: M Richter; G Lob; F Pühlhofer; J Siegrist; C Becker; K Dreinhöfer; A Ekkernkamp; M Feldmann; A Fieguth; C Haasper; F Gebhard; A Icks; J Kleinert; K Knobloch; L Lampl; U Liener; S Märzheuser; H J Oestern; G Pistor; W von Renteln-Kruse; J Seifert; M Wildner Journal: Unfallchirurg Date: 2007-09 Impact factor: 1.000
Authors: Klemens Horst; Hagen Andruszkow; Christian D Weber; Miguel Pishnamaz; Christian Herren; Qiao Zhi; Matthias Knobe; Rolf Lefering; Frank Hildebrand; Hans-Christoph Pape Journal: PLoS One Date: 2017-10-19 Impact factor: 3.240